| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,295 |
42,775 |
$2.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,802 |
4,259 |
$399K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,530 |
11,095 |
$307K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,430 |
5,992 |
$238K |
| 76818 |
|
4,163 |
2,058 |
$193K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,293 |
4,240 |
$169K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,705 |
1,704 |
$135K |
| 76801 |
|
2,135 |
2,094 |
$88K |
| 76813 |
|
1,571 |
1,566 |
$80K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,189 |
1,183 |
$77K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
229 |
69 |
$62K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
450 |
170 |
$45K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,090 |
855 |
$35K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
488 |
487 |
$28K |
| 99464 |
|
403 |
403 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
910 |
867 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
760 |
570 |
$25K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
14 |
14 |
$13K |
| 59514 |
|
13 |
12 |
$10K |
| 99215 |
Prolong outpt/office vis |
64 |
57 |
$8K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
92 |
92 |
$7K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
143 |
101 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
84 |
$5K |
| 99221 |
|
52 |
52 |
$4K |
| 76820 |
|
149 |
58 |
$3K |
| 99386 |
|
41 |
41 |
$2K |
| 99411 |
|
62 |
42 |
$1K |
| 54150 |
|
14 |
14 |
$1K |
| 59025 |
Fetal non-stress test |
38 |
38 |
$1K |
| 99442 |
|
15 |
15 |
$779.46 |
| 99401 |
|
40 |
40 |
$577.49 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$495.15 |
| 82270 |
|
136 |
136 |
$434.64 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
44 |
$383.76 |
| 99441 |
|
12 |
12 |
$281.04 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
127 |
125 |
$15.05 |
| 3008F |
|
8,420 |
8,174 |
$3.90 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
226 |
219 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
665 |
662 |
$0.00 |
| 3725F |
|
134 |
132 |
$0.00 |